PURPOSE: This rule effectuates or aids in the interpretation of sections 375.1110-375.1140, RSMo and prescribes reinsurance intermediary licensing forms and procedures.

1. (1) Who must be licensed as a reinsurance intermediary-

2. (A) Any person, firm, association or corporation acting as a reinsurance intermediarybroker (RB) and maintaining an officer in this state either directly or as a member or employee of a firm or association, or an officer, director or employee of a corporation, must be a licensed Missouri reinsurance intermediarybroker, agent or broker;

   1. (B) Any person, firm, association or corporation acting as an RB and not maintaining an office in this state must either-

      1. I. Be a licensed Missouri agent, broker or reinsurance intermediary-broker; or
      2. 2. Have a current producer’s license from antoher state having a law substantially similar to sections 375.1110-375.1140, RSMo;
   2. (C) Any person acting as a reinsurance intermediary-manager (RM) for a Missouri domiciled reinsurer must be a licensed Missouri agent, broker or reinsurance intermediary-manager;
   3. (D) Any person acting as an RM in this state and that maintains an office either directly or as a member or employee of a firm or association, or an officer, director or employee of a firm or association, or an officer, director or employee of a corporation, must be a licensed Missouri agent, broker or reinsurance intermediary-manager; and
   4. (E) Any person, firm,association orcorporation acting as an RM in another state for a nondomestic insurer, ifthe RM is not a licensed insurance agent in this state or another state having a law substantially similar to sections 375.1110-375.1140 RSMo.
3. (2) Licensed attorneys at law of this state when acting in this professional capacity shall be exempt from this rule.

4. (3) In order to obtain a license as a reinsuance intermediary-broker (RB), all of the following must be met:

   1. (A) Complete an application form supplied by the director; and

      Secietary Of state

--.. _ _- _.- (B) Pay a nonrefundable application fee of one hundred dollars ($100) to the Department of Insurance; and (C) If the applicant is a firm, association or corporation, a list of all reinsurance intermediaries who will be acting under the license applied for, indicating the position or relationship to the applicant; and (D) If the applicant is a firm, association or corporation, a list of all “controlling persons,” as defined in section 375.1112(2), RSMo, including officers, partners, owners, and directors; and (E) If the applicant is a nonresident, supply a properly executed designation of service of process, appointing the director as agent for service of process in the manner and with the same legal effect, provided for by sections 375.1110-375.1140, RSMo along with a name and address of a resident of this state upon whom notices or orders of the director or process affecting such nonresident reinsurance intermediary may be served; and

1. (F) If the applicant is a firm, association or corporation, the applicant must file a copy of its registration of a fictitious name as filed with the Missouri Secretary of State or its Certificate of Good Standing as issued by the Missouri Secretary of State or if neither of the previous is applicable, a current certification from the state or federal agency governing the applicant’s authority to do business, that the applicant is then in good standing to do business; and
2. (G) If the applicant is a nonresident and does not maintain an office either directly or as a member or employee of a firm or association, or an officer, director or employee of a corporation in this state, and has a current producer’s license from another state having a law substantially similar to sections 375.1110-375.1140, RSMo, attach a certification of the applicant’s current license from that state.

1. (4) In order to obtain a license as a RM the following must be met:

   1. (A) Complete an application form supplied by the director; and
   2. (B) Pay a nonrefundable application fee of one hundred dollars ($100) to the Department of Insurance; and
   3. (C) If the applicant is a firm, association or corporation, a list of all reinsurance intermediaries who will be acting under the license applied for, indicating the position or relationship to the applicant; and

   4. (D) If the applicant is a firm, association or corporation, a list of all “ controlling persons,” as defined in section 375.1112(2), RSMo, including officers, partners, owners, and directors; and

      CODEOFSTATE REGULATIONS 20 CSR 700-7

   5. (E) If the applicant is a nonresident, supply a properly executed designation of service of process, appointing the director as agent for service of process in the manner and with the same legal effect. provided for by sections 375.1110-375.1140, RSMo along with a name and address of a resident of this state upon whom notices or orders of the director or process affecting such nonresident reinsurante intermediary may be served; and
   6. (F) If the applicant is a firm, association or corporation, the applicant must file a copy of its registration of a fictitious name as filed with the Missouri Secretary of State or its Certificate of Good Standing as issued by the Missouri Secretary of State or if neither of the previous is applicable, a current certification from the state or federal agency governing the applicant’s authority to do business, that the applicant is then in good standing to do business; and
   7. (6) Provide both the required bond and the required errors and omissions policy; and
   8. (H) If the applicant is a nonresident and does not maintain an office either directly or as a member or employee of a firm or association, or and officer, director or employee of a corporation in this state, and has a current producer’s license from another state having a law substantially similar to sections 375.1110-375.1140, RSMo, attach a certification of the applicant’s current license from that state.
2. (5) If the applicant, and all names listed as reinsurance intermediaries on the application, meet the qualifications under sections 375.1110-375.1140, RSMo, the Department of Insurance will issue the applicant a reinsurante intermediary license.
3. (6) A reinsurance intermediary license is valid for one (1) year from the date of issuance. If the iicense is not renewed each year on or before the anniversary date of issuance, the license terminates. Any license shall be renewed automatically upon receipt of request and payment of a renewal fee of fifty dollars ($50) on or before the anniversary date of issuance, unless the director takes action to suspend or revoke the license.
4. (7) A nonresident applicant for a reinsurance intermediary license must appoint the director as the licensee’s agent for receipt of service of process in addition to meeting other requirements of this rule.
5. (8) Bond and Errors and Omissions Coverage. The limits approved by the director for the bond and errors and omissions coverage are as follows. A fidelity bond is required for each RM and shall be in the minimum amount of six hundred thousand dollars ($600,000) for the 20 CSR 700-74NSURANCE

benefit of each reinsurer with whom the intermediary acts. Any bond must have a discovery period of at least one (1) year. An errors and omissions policy is also required for each RM in the minimum amount pursuant to the following table: Prior Calendar Pear Errors and Omissions Aggregate Liability Policy Limits $O-10,000,000 $1,000,000 $10,000,001-2~,000,000 $2,500,000 $25,000,001 and above’ $5,000,000 Evidence of the applicant’s prior year’s total aggregate liability limits must be attached to the application. (9) Forms. Appendix A is an example of the application form required by subsection (3)(A) and (4)(A). This appendix also may be used for renewal under section (6). This form also contains the nonresident’s appointment of the director under section (7). (10) All reinsurance intermediaries must immediately notify the director of any changes in any of the information requested in the application supplied by the director.

Auth: section 374.045.1(2) and (31, RSMo (1994).* This rule previously filed as 20 CSR200.2.600. OriginalrulefiledDec. 17, 1991, effective June 25,1992. Amended: FiledFeb. 24,1995, effective Oct. 30,1995. *Original authority 1967, amended 1993.

CODEOFSTATE REGULATIONS (9/30/95) RebeccaMcDowell Cook

. . ...“?... STATE OF MISSOURI DEPARTMENT OF INSURANCE REINSURANCE INTERMEDIARY SECTION

INSTRUCTIONS The followmg informaWn and documents must be submItted wth

1. 1. All information must be typed. 2 This application must be accompanied check, cashier’s check or money order payable to the Missouri Department of Insurance. Personal checks wll not be accepted.
2. 3. The applicant must notify the Department the change.
3. 4. All applicant’s signatures must be notarized.

0 PLEASE CHECK ONE:

0 INDIVIDUAL E DATE OF lNCORPORATlOi-4

1. G. IF THE APPLICANT IS A FIRM. ASSOCIATION, THE MlSSOURl SECRETARY OF STATE OR ITS CERTIFICATE OF GOOD STANDING AS ISSUED BY THE MISSOURI SECRETARY OF STATE OF, IF NEITHER OF THE PREVIOUS IS APPLICABLE. A CURRENT CERTlFlCATiON TO DO BUSINESS. THAT THE APPLKXNT IS IN GOOD STANDlNG TO DO BUSLNESS I
2. 2. APPLICANT PRINCIPAL OFFICE
3. A. LEGAL ADDRESS (NUMBER AND STREET RECIUIRED, P.0 BOX IF ANY, CITY. STATE, ZIP CODE
4. B. COUNTY
5. E. CONTACT PERSON, IF DIFFERENT FROM APPLICANT
6. F. IF APPLICANT IS AN INDIVIDUAL. RESIDENCE ADDRESS
7. G. COUNTY
8. 3. List any person, firm, association or corporation directed the management, control or activities NAME

NAME

EXPLAIN HOW EACH PERSON, FIRM, ASSOCIATION OR CORPORATION APPLICANT. ATTACH ADDlTlONAL PAGES IF NECESSARY.

Secletlly Of state APPLICATION 375.1110 TO 375.1140 OF THE INSURANCE

this appllcat~on:

by a $100 lnittal application fee pursuant to Section 375.1137, RSMo. in writing of any changes I” the information contained

cl PARTNERSHIP 0 CORPORATION F. STATE OF DOMlClLE

“A CORPORATION. ATTACH A COPY OF ITS REGISTRATION OF A FlCTlTl0U.S NAME AS FILED WITH FROM THE STATE OR FEDERAL AGENCY GOVERNING THE APPLICANTS

1. C. TELEPHONE NUMBER

   (NUMBER 8 STREET REC)UIRED, P.O. BOX IF ANY, CITY, STATE, ZIP CODE)

( H. HOME TELEPHONE NUMBER

who or which directly or indirectly

of the applicant(s). If none, check here. ADDRESS

ADDRESS

LISTED ABOVE DIRECTS THE MANAGEMENT. 20 CSR 700-7

P 0. BOX se0 JEFFERSON CITY. MO 65102-oe90 TELEPHONE (314) 751-351s

LAW

in the form of a busmess

in this application wthln thirty days of

0 OTHER (EXPLAIN)

SEE lTEM 12 TO LIST ADDITIONAL MEMBERS AND EMPLOYEES TO BE LICENSED. ATTACHED ORGANIZATIONAL CHART YES q

AUTHORITY T-l YES i-l / D. FAX NUMBER has the power to direct or cause to be cl CONTROL OR ACT,“,T,ES OF THE 20CSR700-74NSURANCE PLEASE CHECK ONE: THIS 0 REINSURANCE i. BUSINESS WILL BECONDUCTED i aUSlNESS WILL BE COND”CTED 0 RESIDENT REINSURANCE 7. If you are a non-resident to Accept Service” 8. If you are a non-resident hold a reinsurance attach a certified your reinsurance 9. Most recent audited specified per Section 375.1025-375.1062, IO. BOND AND Attach to this application applicant and FIDELITY BOND Il. The following license if in the director’s director of or that applicant ALL APPLICANTS EXPLANATION members and designated YES NO no. A Have you ever been or are you currently B Have you ever been convicted q u q u C Have q o. D Have you ever been charged 0 0 E. Have you ever compromised F Does any q u q u G Have you ever been q u H Have you or has any occupational I Have you ever been discharged q u. J Has your application q u G5 0045 ,7-w IS AN APPLlCATiON INTERMEDIARY-BROKER intermediary, form. intermediary statement intermediary financial INSURANCE the Declarations its several members [7 YES information the applicant, has failed ?vtUST ANSWER THE FOLLOWING QUESTIONS. “You” includes employees, number and lines. Cl Current or misdemeanor) you ever been a defendant mismanagement individual which you are or have been a member of an insurance Justice or any other state or federal governmental terminated or been termination due to noncompliance (12) months? TO ACT AS A FROM AN OFFICE AS A INTERMEDIARY you must complete reinsurance intermediary license from a state with a law substantially from the insurance license. statements RSMo. REQUIREMENTS required UN0 is required by Section 375.11155, RSMo. The director may refuse judgment the applicant, or any controlling to comply with any prerequisite individual and anyone else acting under q Former other than traffic of funds or breach of fiduciary liabilities with creditors, or organization or reinsurance the subject the subject of any type of administrative to obtain IN MISSOURI? maintaining regulatory are attached. Such statements FOR REINSURANCE page of any Fidelity by 20 CSR 700-7.100. anyone person of the applicant applicants, members licensed License # of or are you currently violations in any State or Federal Court? in any in any capacity whatsoever claim that you as an are transaction? of any inquiry or business with educational or had a contract a reinsurance 0 REINSURANCE 0 NON-RESIDENT the attached “Appointment an office official from the state are INTERMEDIARY-MANAGER and Errors and Omissions E&O q YES named on the application, is not for the issuance of the license. If the answer of partnerships, this license. as an insurance charged with any criminal lawsuit involving duty? with been insolvent individual indebted to them or investigation agency? license held by you been censured, action requirements of agency terminated intermediary license PAGE 2 INTERMEDIARY-MANAGER REINSURANCE of Attorney in another state and similar to Missouri’s, that has issued to be completed insurance Policies 0 NO to issue a reinsurance or any member, trustworthy to act as a reinsurance to any question officers, directors agent in Missouri? Lines offense claims of fraud, misrepresentation, irregularities in money or any other or adjudged a bankrupt? or that any corporation for any overdue by any Division in any state including Missouri? or voluntary non-renewal by any insurer or employer? been denied (9130195) Division 7004icensing 0 YES q NO INTERMEDIARY 0 YES q N/A 0 YES 0 N/A as q YES ONLY or Bonds naming intermediar) principal, officer or intermediary is Yes, ATTACH A DETAILEC of corporations, applicant? If yes, please give license (felony, gross misdemeanor conversion transactions? or partnership o and unpaid balance arising ou’ of the Missouri Department o suspended, revoked, canceled (Do not include of your license.) by any state in the past twelve Rebecca McDowell Cook secretarv of state 12. The books and records of the Applicant Reinsurance by the Director. XNTACT PERSON 4DDRESS 13. Attach a list of all states 14. If the applicant reinsurers which 15. List all of the applicant’s under the license and give **ME Member 51 Employee 3ESIDENCE ADDRESS \lAME Member :: Employee 3ESIDENCE ADDRESS WME Member :: Employee 1ESIDENCE ADDRESS lAME q Member 0 Employee 3ESIDENCE ADDRESS Rebecca McDowell Cook Intermediary in which the reinsurance intermediary is a reinsurance intermediary manager (RM) attach a list of Missouri the RM represents. members including officers, directors information requested below: DATE OF BIRTH (NUMBER AND STREET, CITY OR P 0. BOX. STATE, ZIP CODE) DATE OF BlRTH (NUMBER AND STREET, CITY OR P.O. BOX, STATE, ZIP CODE) DATE OF BIRTH (NUMBER AND STREET, CITY OR P.O. BOX. STATE, ZIP CODE) DATE OF BIRT” (NUMBER AND STREET. CITY OR P.O. BOX. STATE, ZIP CODE) ATTACH SUPPLEMENTAL (9130195) CODE OF STATE REGULATIONS will be maintained at the following TELEPHONE NUMBER ! is currently licensed. domiciled or owners and designated employees, POSITION SEX q M q F POSITION SEX Iz]F q M POSlTlON SEX OF q M POSlTlON SEX OF q M SHEETS IF NECESSARY 20 CSR 700-7 location for examinatior ) 0 YES 0 YES c] N/A or anyone else actIn< SOCIAL SECURITY NUMBER Will act as intermediary Check Here SOCIAL SECURITY NUMBER Will act as intermediary Check Here SOClAL SECURlTY NUMBER Will act as intermediary Check Here SOCIAL SECURITY NUMBER Will act as intermediary Check Here li q q q q 20CSR700-74NSURANCE THE DIRECTOR MAY REQUEST ANY ADDITIONAL RELEVANT INFORMATION IN THE FORM NECESSARY WITH THIS APPLICATION. I HEREBY CERTIFY THE ABOVE STATEMENTS TO BE TRUE AND CORRECT: PARTNERSHIP ACKNOWLEDGMENT PARTNER’S SIGNATURE b PLEASE PRINT OR TYPE NAME PARTNER’S SIGNATURE b PLEASE PRINT OR TYPE NAME CORPORATE ACKNOWLEDGMENT’ AUTHORIZED OFFICER’S SIGNATURE PLEASE PRlNT OR TYPE NAME AUTHORIZED OFFICER‘S SIGNATURE PLEASE PRINT OR TYPE NAME lNDlVlDUAL ACKNOWLEDGMENT, IF OTHER THAN ABOVE SlGNATURE b PLEASE PRlNT OR TYPE NAME ‘IF CORPORATION, ATTACH PERTINENT CORPORATE RESOLUTION AUTHORIZATION APPLICATION. NOTARY P”SUC NAME ,TYPEO OR PRINTW -.- PAGE 4 MO 375-0045 (1-95) Division 700~-Licensing IN CONNECTION DATE SGNED DATE SIGNED 1 DATE SIGNED DATE SIGNED DATE SIGNED EPARTMENT OF INSURANCE he Reinsurance Intermediary ppoints the insurance rhom all legal process which is served upon he Reinsurance ) be done under rat they lawfully f revocation and 1 the state. This f the Revised Statutes of Missouri. his Reinsurance (hose address is s the person to whom process against V WITNESS OF THIS APPOINTMENT, f Directors, has caused e affixed at the City of lis XRETARY 4ME OF REINSURANCE I: PRESENT Rebecca McDowell Cook NONRESIDENT duly organized director, of the state of Missouri, in any action or proceeding this attorney shall have Intermediary gives the this appointment as fully as the Reinsurance do under the power granted in any case shall continue instrument is executed Intermediary designates the Reinsurance this instrument day of INTERMEDIARY APPOINTMENT under the laws of the State of against the same legal validity insurance director by this appointment. in effect so long as any pursuant to and shall be construed - Intermediary said Reinsurance to be executed in its name by OF ATTORNEY and his or her successors it shall be served and as if served personally and his or her successors, Intermediary could This authority may be withdrawn liability arising out of this appointment to constitute served upon Intermediary, pursuant its President , State of ,19- TO ACCEPT SERVICE in office. further agrees upon full authority do if personally full compliance the director shall be forwarded. to a resolution and Secretary, 20 CSR 700-7 to be its lawful attorney that any lawful process the Reinsurance Intermediary to do every act necessary present, and ratifies only upon a written remains outstandinG with Section duly appointed by and its corporate upon againsl all notice 375.115 its Boarc seal tc ’ I